Inspection on 15/08/06 for 33 Montserrat Road

This inspection was carried out on 15th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

33 Montserrat Road 15/07/08

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 33 Montserrat Road Lee-on-Solent Hampshire PO13 9NE Lead Inspector Laurie Stride Unannounced Inspection 15th August 2006 10:30 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 33 Montserrat Road Address Lee-on-Solent Hampshire PO13 9NE Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01905 338626 Sanctuary Care Limited Mrs Lesley Joy Senior Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: 33 Montserrat Road is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation for 4 service users who have a learning disability. This is a four bed roomed detached house which is situated in a quiet residential area of Lee on Solent. The home is a short distance from the seafront at Lee-on-Solent and is close to local shops and amenities. A frequent local bus service operates into the nearby town centres of Gosport and Fareham. The current weekly fee is £410.59 plus a client contribution of £62.35. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit and lasted approximately six hours, during which the inspector met two of the service users and spoke with the member of staff on duty and the registered manager. A partial tour of the premises was undertaken and samples of the home’s written records were inspected. The registered manager had completed a pre-inspection questionnaire in July. This was the home’s first inspection visit since being taken over by Sanctuary Care. What the service does well: What has improved since the last inspection? What they could do better: Information for service users about the home and their rights needs to be updated following the change of service provider; the company are working to a timescale agreed with the Commission for Social Care Inspection in relation to this. A policy regarding how the home supports service users on holidays should be made available. The home offers a generally good standard of accommodation for service users, but routine maintenance should be improved in some areas, particularly the garden. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose, Service User Guide and service user contracts need reviewing following a change of service provider, so that service users’ have up to date information and their rights protected. Effective systems are in place to ensure that service users’ aspirations and needs are assessed before they move into the home. EVIDENCE: This was the home’s first inspection visit since being taken over by the Sanctuary Care organisation in April. During the transition period following the organisational change the home was using some of its existing policies and procedures. The registered manager reported that a review of the home’s Statement of Purpose and Service User Guide had not yet been completed since the change in management. The registered manager emailed the head office requesting an update about this at the time of the visit. It is a requirement that these documents are updated and made available, in order to provide relevant information about the service to current and prospective service users and other stakeholders. Service user’s had not received updated written statements of terms and conditions of residence under the new management and this is also a requirement. The organisation is working to a timescale agreed with the Commission for Social Care Inspection in relation to this. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 9 There had been no new admissions to the home since April. The most recent admission was in December 2005. The home’s records for this service user included the home’s own assessment of the service users’ needs and aspirations, in addition to the funding authority’s care management assessments. The initial assessments had been developed into a care plan and risk assessments. A recent care management review of the person’s overall care was held and recorded in June 2006. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear and effective care planning and risk assessment systems in place to promote service users’ independence and provide staff with the information they need to meet service users’ needs. Service users are enabled to make decisions and the staff provide them with support. EVIDENCE: Three of the four service users’ care plans were seen and these contained comprehensive information and guidance for meeting their individual needs and goals. Care plans were divided into sections including a smaller ‘current’ file that was useful for obtaining up-to-date information quickly. Care plan agreements and objectives were written in a person centred style, recording service users’ views about ‘what has life been like so far?’ and ‘what is life like now?’ with support from a key worker. Photo/picture formats were also used if appropriate for service users and staff completed daily records of activities and observations. Written evidence of monthly, six-monthly and annual care plan reviews was on file along with day service review notes. The yearly review reports included a 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 11 summary of notable events over the past year, significant progress and areas for development. Service users’ relatives are invited to attend the six-monthly and annual reviews. Through discussion with a service user and staff member, observation and inspection of records, it was evident that service users were enabled to make decisions and that staff assisted them if required. This was further promoted through regular residents’ meetings and individual meetings with their key worker, care plan agreements and reviews. One service user attended a selfadvocacy group and this opportunity was open to other service users. The home provides appropriate assistance to service users with managing their finances and this is well documented. Care plans contained comprehensive risk assessment and risk management plans. These were clearly written and also showed evidence of regular reviews. There was information on each specific identified risk, action needed to manage the risk and the people responsible for this. Risk assessments included, for example, activities such as use of kitchen equipment and accessing the community and were clearly linked to promoting service user’s independence, participation and choice. The initial assessments of service users needs included the funding authority’s care management assessment of risk factors. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit through opportunities to take part in appropriate activities, access the community, maintain relationships and participate in the planning of meals. Service users’ rights and responsibilities are recognised in the daily routines of the home. EVIDENCE: Service users have opportunities to take part in a range of appropriate activities. For example some service users’ currently attend a day service and there are evening clubs that also provide further activities and opportunities to meet people. All have individual programmes, including gardening and social clubs and two service users do part-time or periodic work. The registered manager said that some service users accessed college through the day service but continued attendance was uncertain due to local funding issues. There were plans to implement an activities co-ordinator role within the staff team in order to effectively manage any additional spare time that service users might have as a result of this. Care plans contained sections on developing skills, for example in communication, friendships and self-care. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 13 The day service programme includes community activities for service users and the staff member on duty at the home was observed supporting a service user to access local shops. Another service user confirmed that they were able to get out and about independently or with staff support if required. The home’s daily records showed that service users visited shops and pubs, went for walks and took part in leisure activities such as local groups and fishing. The member of staff said that some service users had recently attended a Tai Chi group, where they had further opportunity to meet people who do not have a learning disability. Service users are supported to vote if they wish to do so. Outings could be arranged on a one-to-one basis with key workers or as a group, for example a trip on the River Thames and the London Eye had been planned for August. Leisure activities at the home included watching TV, DVD and videos, games, craft activities and barbeques. Service users also visited from a neighbouring home within the organisation to meet friends, play darts and pool. The sample of care plans seen showed service users liked going for walks along the beach, and visiting a local café. A service user talked about a fishing trip he had just come back from. In the last year service users had gone on holiday to Paris Euro Disney, which they paid for themselves. The registered manager said that the home’s staff support service users on holidays but there was not a policy on this that would clarify service user and staff expectations. It is recommended that such a policy is made available. Family links and friendships are supported and documented in care plans and these showed that service users have opportunities to meet people and make friends outside of the home. One service user talked about regularly visiting a friend. Service user’s relatives and representatives are invited to attend and participate in care reviews. Visitors to the home are welcome at any time and there is a visiting policy. The registered manager confirmed that there are appropriate policies and procedures in place with regards to sexuality/sexual relationships. Further support for service users in relation to issues of sexuality is accessed through the community learning disability team. Service users have responsibilities for helping with the daily routines of the home and these were well documented. One service user was observed doing household tasks assisted by a member of staff, and their care plan showed that this was part of their programme. Another service user confirmed that they had their own house and room keys and was seen letting himself in. Staff knock on bedroom doors and wait to be invited in and were observed interacting with service users in a friendly and respectful manner. Service users were seen to be able to move about the communal areas freely and could choose whether or not to be alone or in company. Food menus are devised on a week-by-week basis with service users taking turns to help plan and prepare the main meals. A record of this was seen and 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 14 another record was kept of individual service user’s food and drink intake. Alternative meals are available if requested and drinks and snacks are freely available. Service users are supported to prepare their own breakfasts and lunches, including packed lunches when they attend the day service. The member of staff on duty said that one service user was being supported to keep to a diet but that there were no further special dietary needs or requirements. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal and healthcare support to meet their individual needs and are protected by the home’s medication policies and procedures. EVIDENCE: An established team of staff support service users and individual support needs are well documented in care plans. The home has a good mix of both male and female staff and there is a written policy on staff members giving crossgender personal care. Those care plans seen each contained an ‘assessment of support needs questionnaire’, which gave comprehensive guidance for staff providing support to service users. For example, there was guidance for giving support with bathing, dressing, eating and drinking, personal hygiene, selfimage and appearance, social relationships and interactive skills. Care plans also contained quick reference sheets with details of people’s likes and dislikes, and timetables of activities included mornings when service users liked to lay in. Through conversation a service user confirmed that they were well supported by the staff team. Health and fitness support needs are also documented and through reading care plans it was evident that service users’ health needs were being monitored and met. A written procedure for staff recording appointments gave 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 16 clear guidance on how this should be done. Records showed when health appointments were booked and attended and when health professionals visited service users at home. One service user’s care plan identified the need for regular eye appointments and records showed that this stated need was being met. Service users are registered with different doctors and specialist support is also available from the community learning disability team. Service users support needs with regard to medication is detailed in their personal care plans. There are currently no service users who manage their own medication and this was individually recorded. A member of staff explained the written procedures for the receipt, recording, storage, handling, administration and disposal of medicines. At the time of the visit there was only a small amount of medicines kept in the home and these were stored appropriately. A sample of the administration records was checked and was up-to-date. The home also keeps a record of medication taken out and returned for when service users go away. Records showed that staff received training in relation to medication. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has systems for ensuring that residents’ views are listened to and responding to any complaints. Residents are protected by the home’s policies and procedures for responding to any form of abuse. EVIDENCE: The home has an updated corporate complaints procedure, which includes details of who would investigate complaints together with timescales. The complaints procedure also gave details of how to contact the Commission for Social Care Inspection. There is also a simple to follow “in house” complaints procedure for service users, which has pictures and symbols and this is used in conjunction with the corporate policy. Service user meetings provide opportunities for service users to raise issues and concerns. The registered manager confirmed there had been no complaints received in the time since the change of management in April 2006. The home has a copy of the Hampshire Adult Protection procedure, a whistle blowing policy and a copy of the department of health guidelines “No Secrets.” Staff receive training with regard to protection of vulnerable adults (POVA) as part of their induction and as further training updates. Records showed that updates were being booked and attended. The member of staff on duty explained their responsibilities in this area, including listening to service users and clearly recording what they say and what is observed and reporting incidents to the registered manager. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a safe, clean and comfortable environment. However routine maintenance should be improved in some areas. EVIDENCE: The home is situated in a quiet residential area and blends in with the neighbouring houses. A partial tour of the premises was undertaken and the home was seen to offer a comfortable, clean environment. A service user said that they liked their bedroom. The shower room would benefit from redecoration. The garden area was also in need of regular maintenance to prevent areas becoming overgrown. Through discussion with the registered manager it appeared that the home’s staff currently maintained the garden. This is outside of the care role and will have an impact on staff support for service users. It is therefore recommended that the organisation increase its support in this area. There were records of monthly health and safety monitoring checks. The fire officer visited the home on 24/05/06 and the report recommendations had been implemented. The washing machine at the home is situated in the kitchen as part of normal domestic arrangements and service users have a routine for their weekly 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 19 laundry. The washing machine is able to wash clothing at appropriate temperatures. The home has an infection control procedure and personal protective clothing is available for staff. At the time of the visit a good standard of cleanliness was observed throughout the home. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s staff recruitment procedure and are supported by trained and supervised staff. The home supports and encourages staff to undertake relevant care qualifications. EVIDENCE: In addition to the registered manager, who also manages another nearby home, there is one member of staff on duty at any time during the day and a sleep-in duty at night. There is a good mix of both male and female staff at the home and all staff are encouraged and supported to undertake NVQ training. Out of the seven staff members working at both this and the neighbouring home, currently five had obtained an NVQ qualification. Staff members were observed interacting with and providing support for service users. The member of staff on duty demonstrated through discussion a good understanding of their role and responsibilities and issues relating to service users. Through conversation a service user indicated that staff did a good job of supporting service users. Staff records were viewed in relation to three members of staff and recruitment procedures had been appropriately undertaken and recorded. These records included proof of Criminal Records Bureau (CRB) and POVA (Protection of Vulnerable Adults) checks, two written references for each 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 21 employee, completed application forms with employment histories, rehabilitation of offenders and health reports. All staff received written terms and conditions of employment and job descriptions. There is structured induction training for staff linked to NVQ awards and a further training programme to ensure that staff have the skills to meet service users needs. The registered manager said that all staff completed the induction prior to passing the probationary period. There was a discussion about the forthcoming changes to the Common Induction Standards (CIS). Records showed that staff had training in health and safety, first aid, manual handling, fire safety and infection control. Other training included equality and valuing diversity, person-centred care, epilepsy, adult protection and medication. Training certificates were held on individual staff members’ files. Supervision records were seen on file and staff confirmed that the registered manager is approachable and supportive. In addition to the registered manager there are two team leaders who have received supervision and appraisal training. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home that seeks their views and promotes the health, safety and welfare of service users and staff. EVIDENCE: The registered manager has completed the NVQ level 4 Registered Managers Award (RMA) and has managed the home for more that two years. Mrs Lesley Senior had attended an induction into the new company procedures and a training day on the new administration. A Director of the new company had visited the home. The minutes of service user meetings showed that the home promotes service users’ awareness of the fire procedure and health and safety issues. Records were seen of checks and tests carried out on gas and electrical systems and appliances, fire safety equipment and water quality. The manager was aware when any of the checks became overdue and there was evidence of contact being made with the relevant company. The home’s fire safety logbook 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 23 showed that staff had fire drills and checks had been maintained on alarms, fire door closers, emergency lighting and extinguishers. Accident records were held in service users personal files and information for staff about recording and reporting accidents and incidents was available. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4&5 Requirement An up to date Statement of Purpose and Service User Guide must be made available to all service users and other stakeholders. Service users’ must be provided with updated written statements of terms and conditions of residence. Timescale for action 31/12/06 2. YA5 5(1)(b)(c) 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA14 YA24 Good Practice Recommendations It is recommended that a policy regarding how the home supports service users on holidays is made available. The garden should be included in the organisation’s programme of regular maintenance of the premises, and this should not impact on the care role of staff. 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 33 Montserrat Road DS0000067405.V302844.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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